| NPI | 1487392049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY ELIZABETH JOSEPHSON Owner 734-391-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |